6TU-54715-49749

2 vaccinations 12 coded responses 23 check-ins 12 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 024 / MA
Registered: 2021-03-23

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Pfizer-BioNTech
2021-03-23
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Herpes simplex, Pre-existing disease, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Vaccines always seem to stimulate minor herpes rash breakouts on my lower back and this did that. Usually dries up snd goes away in a coupla days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: Nope

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 7, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: Nope

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-13
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Good · Site: Pain

Free text: This daily reporting is getting to be a pain in the neck. ( just trolling you. I know its important)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling

Free text: Nope

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Survey response — 3 months, dose 2
MedDRA: Fatigue, Malaise, Mental fatigue, Pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fatigue, aches, mental fatigue, easily tire after activity, malaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-12
Survey response — 6 months, dose 2
MedDRA: Blood glucose abnormal, Tremor — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tremor ( mostly hands); various symptoms of unregulated blood sugar

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-15
Call successful
Participant prefers to complete VAERS report online
2022-04-14
Survey response — 12 months, dose 2
MedDRA: Depression, Fatigue, Malaise, Office visit, Pain, Prostate cancer, Sleep deficit, Tremor — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Worsened tremor, fatigue, body aches, sleep deficits, depression and malaise, prostate cancer diagnosis · Healthcare visit (other): In person visits for doctor consultation and diagnostic testing

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-15
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): Vaccines always seem to stimulate minor herpes rash breakouts on my lower back and this did that. Usually dries up snd goes away in a coupla days

2021-03-28

Systemic reaction (other): No

2021-03-29

Systemic reaction (other): Nope

Release 6 — day 7, dose 1

2021-04-01

Systemic reaction (other): Nope

Release 7 — day 0, dose 2

2021-04-13

Systemic reaction (other): No

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): This daily reporting is getting to be a pain in the neck. ( just trolling you. I know its important)

2021-04-15

Systemic reaction (other): Nope

2021-04-17

Systemic reaction (other): None

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): No

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Fatigue, aches, mental fatigue, easily tire after activity, malaise

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: Tremor ( mostly hands); various symptoms of unregulated blood sugar

Release 11 — 12 months, dose 2

2022-04-14

Symptoms: Worsened tremor, fatigue, body aches, sleep deficits, depression and malaise, prostate cancer diagnosis

Healthcare visit (other): In person visits for doctor consultation and diagnostic testing

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Office visit	·	·	✓
SD	Blood glucose abnormal	·	·	✓
SD	Depression	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Mental fatigue	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Prostate cancer	·	·	✓
SD	Sleep deficit	·	·	✓
SD	Tremor	·	·	✓
SRO	Herpes simplex	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release